USCG is a military and u.s. coast guard ambulatory procedure clinic center in Baltimore, MD. The provider is that part of a fixed (non-temporary, non-deployed) DoD or Coast Guard entity furnishing surgical procedures requiring medically supervised recovery. Similar to a civilian ambulatory surgical center. May be in shared resources with a DoD or Coast Guard Clinic or a DoD Hospital. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. Includes initial take home pharmaceuticals. USCG NPI is 1598778623. The provider is registered as an organization entity type.
The provider's business location address is:
2401 HAWKINS POINT RD
BALTIMORE, MD
ZIP 21226-797
Phone: (410) 636-7506
The provider's authorized official is Aaron E. Fultcher .
The authorized official title is Clinic Administrator and has the following contact phone number (410) 636-7506.
The CLIA number assigned to this NPI record is 21D0687973 - other - uscg with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/13/2006 and was last updated on 8/22/2020.